ICD Code N20.2

ICD code N20.2 is a medical classification used to denote the presence of kidney stones (calculi) that are also present in the ureter. This code is used by healthcare providers to document and communicate the diagnosis of a patient who has stones in both the kidney and the ureter, which can cause significant pain and potential complications if not treated.

1. Presence of Kidney Stones: Confirmed diagnosis of kidney stones through imaging studies such as an ultrasound, CT scan, or X-ray.

2. Presence of Ureteral Stones: Identification of stones located in the ureter, often detected through imaging techniques.

3. Flank Pain: Patient reports experiencing severe, sharp pain in the back or side, typically radiating to the lower abdomen or groin.

4. Hematuria: Presence of blood in the urine, which may be visible (gross hematuria) or detected through microscopic examination.

5. Nausea and Vomiting: Patient experiences nausea and/or vomiting, often accompanying the pain.

6. Urinary Symptoms: Symptoms such as frequent urination, urgency, or difficulty urinating may be present.

7. History of Kidney Stones: Patient has a documented history of kidney stones, which may increase the likelihood of recurrence.

8. Laboratory Findings: Abnormal urinalysis results, such as elevated levels of calcium, oxalate, or uric acid, which are common contributors to stone formation.

9. Physical Examination: Tenderness in the flank area upon physical examination by a healthcare provider.

10. Exclusion of Other Conditions: Rule out other potential causes of the symptoms, such as urinary tract infections or other abdominal conditions, to confirm the diagnosis of kidney and ureteral stones.

For the ICD code N20.2, which pertains to calculus of kidney with calculus of ureter, the relevant CPT codes that may be applicable for treatment include:

1. 50080 - Percutaneous nephrolithotomy or pyelolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm.

2. 50081 - Percutaneous nephrolithotomy or pyelolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; over 2 cm.

3. 50590 - Lithotripsy, extracorporeal shock wave.

4. 52356 - Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included).

5. 52353 - Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included).

6. 52352 - Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included).

These CPT codes are used to describe various procedures that healthcare providers may perform to treat the condition associated with ICD code N20.2. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code N20.2. Schedule a demo today to see how RevFind can ensure you're receiving the full reimbursement you deserve.